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Serial Change in Airway Lumen and Wall Thickness at Thin-Section CT in Asymptomatic Subjects¹

¹ From the Department of Diagnostic Radiology, Fujisawa City Hospital, Fujisawa City, Kanagawa, Japan (S.M., H.A., K.K.); and Department of Radiology, St Marianna University School of Medicine, Kawasaki City, Kanagawa, Japan (Y.K., Y.N., H.N.). Received September 11, 2003; revision requested November 24; final revision received March 23, 2004; accepted April 15. Address correspondence to S.M., Department of Radiology, St Marianna University School of Medicine, 2–16-1 Sugao, Miyamae-Ku, Kawasaki City, Kanagawa 216-8511, Japan (e-mail: shinma@d9.dion.ne.jp).

PURPOSE: To retrospectively analyze serial changes in airway lumen and wall thickness (WT) at multi–detector row computed tomography (CT) in asymptomatic subjects.

MATERIALS AND METHODS: Institutional review board did not require its approval or informed patient consent. Airway dimensions were analyzed in 52 patients (30 men and 22 women) without known cardiopulmonary disease. Contiguous 2-mm CT sections were obtained after reconstruction, extending from origin of right posterior basal segmental bronchi to posterior subsegmental bronchi. Following parameters were determined with semiautomatic image-processing program: luminal area (LA), total airway area (TA), short axis of lumen (LSD), and short axis of total airway (TSD). In airways in which adjacent vessel or branching of small bronchus abutted boundary of airway, extrapolated line was traced by one radiologist. Airway wall area (WA) was calculated as TA – LA, and WT was calculated as (TSD – LSD)/2. Relative WA (WA% = [WA/TA] · 100) and ratio of airway WT to total diameter (D) (WT/D = WT/TSD) were calculated. Linear regression analysis and Spearman rank correlation were used to evaluate relationship between airway parameters (LA, WA%, and WT/D ratio) and distance from origin of segmental bronchi.

RESULTS: LA decreased as CT proceeded from hilum to periphery (r = –0.765, P < .001). In 308 (32.7%) of 943 bronchi, however, LA increased as CT proceeded from hilum to periphery. LA increased by 10% or more in 101 (10.7%) of 943 bronchi. Mean changes in WA% and WT/D ratio between two contiguous sections were 0.66 ± 5.05 (standard deviation) and 0.003 ± 0.024, respectively. WA% changed by more than 5% between two contiguous sections in 274 (29.0%) of 943 bronchi. WT/D ratio changed by more than 0.02 between two contiguous sections in 338 (35.8%) of 943 bronchi.

CONCLUSION: Variation of airway lumen and WT is found in asymptomatic subjects without known cardiopulmonary disease.

© RSNA, 2004

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